Organization Active NPI

Miami Shores Heart Center LLC

Doing business as Miami Shores Heart Center

  • Interventional Cardiology Physician
  • Miami Shores, FL
National Provider Identifier
1811651557
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
MIAMI SHORES HEART CENTER LLC
Doing business as
Miami Shores Heart Center
Practice address
209 NE 95TH St Ste 4
Miami Shores, FL 33138-2745
Phone
(786) 206-8610
Fax
(786) 206-8612
NPI assigned
Oct 28, 2021
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Margarita Perez
Title
MD
Phone
(786) 206-8610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

209 NE 95TH St Ste 4
Miami Shores, FL 33138-2745

Mailing address

209 NE 95TH St Ste 4
Miami Shores, FL 33138-2745
Phone (786) 206-8610

Other identifiers 1

IdentifierTypeStateIssuer
ME114882OtherFLLICENCE

Other names 1

  • Miami Shores Heart Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mperez@miamishoresmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220413002320 FL Part B Supplier - Clinic/Group Practice 7315333689 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Shores, FL

National Provider Directory

National Provider Directory

Locations

209 NE 95th St
Ste 5
Miami Shores, FL 33138
Phone (786) 206-8610

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1811651557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NE 95TH ST STE 4",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382745",
            "telephone_number": "786-206-8610",
            "fax_number": "786-206-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NE 95TH ST STE 4",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382745",
            "telephone_number": "786-206-8610",
            "fax_number": "786-206-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI SHORES HEART CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "786-206-8610"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "ME114882",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mperez@miamishoresmd.com",
            "affiliation": "N",
            "address_1": "209 NE 95th St Ste 5",
            "city": "Miami Shores",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331382745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Miami Shores Heart Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miami Shores Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.